Covid-19 Self Assessment | Report Case

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Report Symptoms
Report Someone

Get medical attention if:

1. Feel like you can’t breathe

2. Persistent pain or pressure in the chest

3. New confusion or you can’t get up

4. Purplish lips or face

Report Case

Here, you can help us determine your symptoms by dragging the slider on each symptoms page afteryou select next. For symptoms you don't experience, select skip to move to the next one. You can also add more specific description of those symptoms in the comment box provided below each page.

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Do you suspect a person has Coronavirus COVID-19? *

Yes

No

Enter additional info:

Has the person been in contact with someone diagnosed with Coronavirus COVID-19? *

Yes

No

I don't know

Enter additional info:

Did the person travel out of state recently? *

Yes

No

I don't know

Enter travel info:

Does the person have a fever? *

Yes

No

I don't know

Enter additional info eg: temperature 38

Does the person have a cough? *

Yes

No

I don't know

Enter additional info:

Does the person have a sore throat? *

Yes

No

I don't know

Enter additional info:

Is the person experiencing shortness of breath? *

Yes

No

I don't know

Enter additional info:

Enter information of person being reported

Name:

Phone No:

Address:

State: *

LGA:

Enter additional info:

Enter your contact details

Name: *

Phone No: *

Address:

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